Técnica do abandono primário do saco herniário (PAS): resultados preliminares de uma nova técnica na cirurgia minimamente invasiva de hérnias inguinoescrotais

Translated title of the contribution: Primary abandon-of-the-SAC (PAS) technique: Preliminary results of a novel minimally invasive approach for inguinoscrotal hernia repair

Alexander Charles Morrell, Andre Luiz Gioia Morrell, Flavio Malcher, Allan Gioia Morrell, Alexander Charles Morrell-Junior

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Laparoscopic best approach of repairing inguinoscrotal hernias are still debatable. Incorrect handling of the distal sac can possibly result in damage to cord structures and negative postoperative outcomes as ischemic orquitis or inguinal neuralgia. Aim: To describe a new technique for a minimally invasive approach to inguinoscrotal hernias and to analyze the preliminary results of patients undergoing the procedure. Methods: A review of a prospectively maintained database was conducted in patients who underwent minimally invasive repair using the “primary abandon-of-the-sac” (PAS) technique for inguinoscrotal hernias. Patient´s demographics, as well as intraoperative variables and postoperative outcomes were also analyzed. Results: Twenty-six male were submitted to this modified procedure. Mean age of the case series was 53.8 years (range 34-77) and body mass index was 26.8 kg/m2 (range 20.8-34.2). There were no intraoperative complications or conversion. Average length of stay was one day. No surgical site infections, pseudo hydrocele or neuralgia were reported after the procedure and two patients presented seroma. No inguinal hernia recurrence was verified during the mean 21.4 months of follow up. Conclusion: The described technique is safe, feasible and reproducible, with good postoperative results.

Translated title of the contributionPrimary abandon-of-the-SAC (PAS) technique: Preliminary results of a novel minimally invasive approach for inguinoscrotal hernia repair
Original languagePortuguese
Article numbere1519
Pages (from-to)1-5
Number of pages5
JournalArquivos Brasileiros de Cirurgia Digestiva
Volume33
Issue number2
DOIs
StatePublished - 2020
Externally publishedYes

Keywords

  • Hernia
  • Hernia, inguinal
  • Laparoscopy
  • Seroma

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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